The health burden and economic costs averted by ambient PM 2.5 pollution reductions in Nagpur, India

National estimates of the health and economic burdens of exposure to ambient fine particulate matter (PM ) in India reveal substantial impacts. This information, often lacking at the local level, can justify and drive mitigation interventions. Here, we assess the health and economic gains resulting...

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Bibliographic Details
Published in:Environment international 2017-05, Vol.102, p.145-156
Main Authors: Etchie, Tunde O, Sivanesan, Saravanadevi, Adewuyi, Gregory O, Krishnamurthi, Kannan, Rao, Padma S, Etchie, Ayotunde T, Pillarisetti, Ajay, Arora, Narendra K, Smith, Kirk R
Format: Article
Language:English
Subjects:
Air Pollutants - adverse effects
Air Pollutants - analysis
Air Pollution - analysis
Air Pollution - economics
Air Pollution - prevention & control
Cardiovascular Diseases - economics
Cardiovascular Diseases - mortality
Environment
Environmental Monitoring
India - epidemiology
Mortality, Premature
Particle Size
Particulate Matter - adverse effects
Particulate Matter - analysis
Quality-Adjusted Life Years
Respiratory Tract Diseases - economics
Respiratory Tract Diseases - mortality
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Summary:National estimates of the health and economic burdens of exposure to ambient fine particulate matter (PM ) in India reveal substantial impacts. This information, often lacking at the local level, can justify and drive mitigation interventions. Here, we assess the health and economic gains resulting from attainment of WHO guidelines for PM concentrations - including interim target 2 (IT-2), interim target 3 (IT-3), and the WHO air quality guideline (AQG) - in Nagpur district to inform policy decision making for mitigation. We conducted a detailed assessment of concentrations of PM in 9 areas, covering urban, peri-urban and rural environments, from February 2013 to June 2014. We used a combination of hazard and survival analyses based on the life table method to calculate attributed annual number of premature deaths and disability-adjusted life years (DALYs) for five health outcomes linked to PM exposure: acute lower respiratory infection for children
ISSN:0160-4120
1873-6750
DOI:10.1016/j.envint.2017.02.010